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  1. Year in review: medication mishaps in the elderly. | PSNet

    psnet.ahrq.gov/issue/year-review-medication-mishaps-elderly
    August 15, 2012 - Review Year in review: medication mishaps in the elderly. Citation Text: Peron EP, Marcum ZA, Boyce R, et al. Year in review: medication mishaps in the elderly. Am J Geriatr Pharmacother. 2011;9(1):1-10. doi:10.1016/j.amjopharm.2011.01.003. Copy Citation Format: DOI Googl…

  2. Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-acute-care-ensuring-accurate-drug-regimen-admission-and-discharge
    October 28, 2020 - Commentary Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. Citation Text: Rodehaver C, Fearing D. Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. Jt Comm J Qual Patient Saf. 2005…

  3. Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. | PSNet

    psnet.ahrq.gov/issue/risk-evaluation-and-mitigation-strategy-rems-programs-and-medication-safety-parts-i-and-ii
    March 15, 2022 - Special or Theme Issue Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. Citation Text: Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. ISMP Medication Safety Alert! Acute care edition. July 13, 2…

  4. Adverse events after screening and follow-up colonoscopy. | PSNet

    psnet.ahrq.gov/issue/adverse-events-after-screening-and-follow-colonoscopy
    September 30, 2010 - Study Adverse events after screening and follow-up colonoscopy. Citation Text: Rutter CM, Johnson E, Miglioretti DL, et al. Adverse events after screening and follow-up colonoscopy. Cancer Causes & Control. 2011;23(2). doi:10.1007/s10552-011-9878-5. Copy Citation Format: …

  5. Establishing a rapid response team (RRT) in an academic hospital: one year's experience. | PSNet

    psnet.ahrq.gov/issue/establishing-rapid-response-team-rrt-academic-hospital-one-years-experience
    September 28, 2010 - Study Establishing a rapid response team (RRT) in an academic hospital: one year's experience. Citation Text: King E, Horvath R, Shulkin DJ. Establishing a rapid response team (RRT) in an academic hospital: One year's experience. J Hosp Med. 2006;1(5). doi:10.1002/jhm.114. Copy Citat…

  6. The association of shift-level nurse staffing with adverse patient events. | PSNet

    psnet.ahrq.gov/issue/association-shift-level-nurse-staffing-adverse-patient-events
    October 06, 2016 - Study The association of shift-level nurse staffing with adverse patient events. Citation Text: Patrician PA, Loan L, McCarthy MC, et al. The association of shift-level nurse staffing with adverse patient events. J Nurs Adm. 2011;41(2):64-70. doi:10.1097/NNA.0b013e31820594bf. Copy Ci…

  7. In support of the medical apology: the nonlegal arguments. | PSNet

    psnet.ahrq.gov/issue/support-medical-apology-nonlegal-arguments
    June 30, 2021 - Commentary In support of the medical apology: the nonlegal arguments. Citation Text: Heaton HA, Campbell RL, Thompson KM, et al. In Support of the Medical Apology: The Nonlegal Arguments. J Emerg Med. 2016;51(5):605-609. doi:10.1016/j.jemermed.2016.06.048. Copy Citation Format: …

  8. Huddles and debriefings: improving communication on labor and delivery. | PSNet

    psnet.ahrq.gov/issue/huddles-and-debriefings-improving-communication-labor-and-delivery
    February 13, 2013 - Review Huddles and debriefings: improving communication on labor and delivery. Citation Text: McQuaid-Hanson E, Pian-Smith MCM. Huddles and Debriefings: Improving Communication on Labor and Delivery. Anesthesiol Clin. 2017;35(1):59-67. doi:10.1016/j.anclin.2016.09.006. Copy Citation …

  9. Special report: suicidal ideation among American surgeons. | PSNet

    psnet.ahrq.gov/issue/special-report-suicidal-ideation-among-american-surgeons
    June 28, 2010 - Study Special report: suicidal ideation among American surgeons. Citation Text: Shanafelt TD, Balch CM, Dyrbye LN, et al. Special report: suicidal ideation among American surgeons. Arch Surg. 2011;146(1):54-62. doi:10.1001/archsurg.2010.292. Copy Citation Format: DOI Google…

  10. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. | PSNet

    psnet.ahrq.gov/issue/association-perceived-medical-errors-resident-distress-and-empathy-prospective-longitudinal
    February 03, 2011 - Study Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. Citation Text: West CP, Huschka MM, Novotny PJ, et al. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. JAMA.…

  11. Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography. | PSNet

    psnet.ahrq.gov/issue/profiles-patient-safety-misplaced-femoral-line-guidewire-and-multiple-failures-detect-foreign
    April 03, 2017 - Commentary Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography. Citation Text: Lum TE, Fairbanks RJ, Pennington EC, et al. Profiles in Patient Safety: Misplaced Femoral Line Guidewire and Multiple Failures t…

  12. Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES). | PSNet

    psnet.ahrq.gov/issue/prevention-and-treatment-bile-duct-injuries-during-laparoscopic-cholecystectomy-clinical
    May 04, 2012 - Review Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES). Citation Text: Eikermann M, Siegel R, Broeders I, et al. Prevention and treatment of bile duct injuries…

  13. Use of board certification and recertification of pediatricians in health plan credentialing policies. | PSNet

    psnet.ahrq.gov/issue/use-board-certification-and-recertification-pediatricians-health-plan-credentialing-policies
    February 02, 2011 - Study Use of board certification and recertification of pediatricians in health plan credentialing policies. Citation Text: Freed GL, Singer D, Lakhani I, et al. Use of board certification and recertification of pediatricians in health plan credentialing policies. JAMA. 2006;295(8):913…

  14. Increasing physician reporting of diagnostic learning opportunities. | PSNet

    psnet.ahrq.gov/issue/increasing-physician-reporting-diagnostic-learning-opportunities
    March 23, 2022 - Study Increasing physician reporting of diagnostic learning opportunities. Citation Text: Marshall TL, Ipsaro AJ, Le M, et al. Increasing physician reporting of diagnostic learning opportunities. Pediatrics. 2021;147(1):e20192400. doi:10.1542/peds.2019-2400. Copy Citation Format: …

  15. Patient safety in psychiatric inpatient care: a literature review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-psychiatric-inpatient-care-literature-review
    September 27, 2017 - Review Patient safety in psychiatric inpatient care: a literature review. Citation Text: Kanerva A, Lammintakanen J, Kivinen T. Patient safety in psychiatric inpatient care: a literature review. J Psychiatr Ment Health Nurs. 2013;20(6):541-8. doi:10.1111/j.1365-2850.2012.01949.x. Co…

  16. The relationship between patients' perceptions of team effectiveness and their care experience in the emergency department. | PSNet

    psnet.ahrq.gov/issue/relationship-between-patients-perceptions-team-effectiveness-and-their-care-experience
    June 08, 2011 - Study The relationship between patients' perceptions of team effectiveness and their care experience in the emergency department. Citation Text: Kipnis A, Rhodes K, Burchill CN, et al. The relationship between patients' perceptions of team effectiveness and their care experience in the…

  17. Hiding in plain sight—resurrecting the power of inspecting the patient. | PSNet

    psnet.ahrq.gov/issue/hiding-plain-sight-resurrecting-power-inspecting-patient
    September 16, 2020 - Commentary Hiding in plain sight—resurrecting the power of inspecting the patient. Citation Text: Gupta S, Saint S, Detsky AS. Hiding in Plain Sight-Resurrecting the Power of Inspecting the Patient. JAMA Intern Med. 2017;177(6):757-758. doi:10.1001/jamainternmed.2017.0634. Copy Citatio…

  18. Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents during simulated cardiopulmonary arrests. | PSNet

    psnet.ahrq.gov/issue/delays-and-errors-cardiopulmonary-resuscitation-and-defibrillation-pediatric-residents-during
    January 02, 2017 - Study Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents during simulated cardiopulmonary arrests. Citation Text: Hunt EA, Vera K, Diener-West M, et al. Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents…

  19. The Daily Goals Communication Sheet: a simple and novel tool for improved communication and care. | PSNet

    psnet.ahrq.gov/issue/daily-goals-communication-sheet-simple-and-novel-tool-improved-communication-and-care
    October 14, 2009 - Commentary The Daily Goals Communication Sheet: a simple and novel tool for improved communication and care. Citation Text: Schwartz JM, Nelson KL, Saliski M, et al. The daily goals communication sheet: a simple and novel tool for improved communication and care. Jt Comm J Qual Patient S…

  20. Measuring the cost of hospital adverse patient safety events. | PSNet

    psnet.ahrq.gov/issue/measuring-cost-hospital-adverse-patient-safety-events
    November 16, 2022 - Study Measuring the cost of hospital adverse patient safety events. Citation Text: Carey K, Stefos T. Measuring the cost of hospital adverse patient safety events. Health Econ. 2011;20(12):1417-30. doi:10.1002/hec.1680. Copy Citation Format: DOI Google Scholar PubMed BibT…
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